| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.57 | $2.46 | $2.46 | |
Aetna
| Professional | $1.57 | $2.00 | $3.51 | |
Cigna
| Facility | $1.57 | $1.57 | $1.57 | |
Cigna
| Professional | $1.57 | $1.57 | $1.57 | |
Providence
| Facility | $1.46 | $1.57 | $1.57 | |
Providence
| Professional | $1.57 | $1.57 | $1.57 | |
United
| Professional | $1.57 | $1.57 | $1.57 |